微创治疗迟发性脑内血肿(附78例报告)

The Microinvasion Therapy for the Treatment of Delayed Intraierebral Hematoma(78 cases report)

目的 :评价微创治疗迟发性脑内血肿的疗效。方法 :采取锥颅穿刺置管 +尿激酶灌注引流方法 ,回顾分析 78例迟发脑内血肿的临床资料。结果 :78例迟发脑内血肿经微创治疗后存活 71例 ,死亡 5例 ,总死亡率 6 %。格拉斯哥昏迷指数 (GCS)、年龄、瞳孔变化、血肿大小、脑挫伤程度及并发症等 6项指标可影响治疗效果。结论 :迟发性脑内血肿采取微创治疗具有安全性、少创、经济、恢复时间短、并发症少、死亡率低等优点。

Objective:To evaluate the curative effect of micro invasion therapy for the treatment of delayed intracerebral hematoma.Methods:78 patients with delayed intracerebral hematoma were therapied by punching skull and placing cather then perfusiqn drrainage with urokinase.The clinical data were analysed retrospectly.Result:Among 78 patients with delayed intracerebral hematoma,71 cases survived,5 cases died.Total moratality was 6%,The curative effect was influenced by Glasgow Outcome Scale (GCS),age.state of pupil,size of hemotoma,degree of brain contusion and complications else.Condusion:There is some merit in the treatment of delayed intracerebral hematoma by the microinvasion method,It is safe microcinasion,economy,shorter time of recovery,small complication and lower morlatity.